A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?

"I will ensure that my child is tested for tuberculosis every year."

"The risk of transmission decreases once my child is on zidovudine for 2 weeks."

"My child will need to double his medications for the next 6 months."

"My child will need to repeat his childhood immunizations once he is in remission."

Answer and Explanation

The Correct Answer is A

A.   This statement demonstrates an understanding of the increased risk of tuberculosis in individuals with HIV and the importance of regular screening. Tuberculosis is a common opportunistic infection in individuals with HIV, and regular testing is essential for early detection and treatment.
B.   While starting antiretroviral therapy such as zidovudine is important for managing HIV, it does not immediately decrease the risk of transmission. It takes time for viral load suppression to occur and for the risk of transmission to decrease significantly.
C.   Doubling medications without healthcare provider guidance could lead to incorrect dosing and potential harm. HIV medications should be taken exactly as prescribed by the healthcare provider.

D.   Childhood immunizations are essential for preventing other infectious diseases but may need to be adjusted based on the child's immune status and specific recommendations from the healthcare provider. The statement does not address the immediate concern of managing HIV.

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Correct Answer is C

Explanation

A. Examining the child for skin irritation at the cast edges is important to prevent complications but may not be the priority compared to monitoring for signs of impaired circulation or compartment syndrome.
B. Restricting the child's strenuous activities for 3 days is important for preventing damage to the cast, but it is not as urgent as monitoring for potential complications.
C. Monitoring for pallor or swelling in the child's affected hand is the priority to assess for impaired circulation or compartment syndrome, which are potential complications of cast application.
D. Using a hair dryer on a cool setting to relieve itching is a helpful tip but is not as urgent as monitoring for signs of impaired circulation.

A. "Your child should ride the bicycle against the flow of traffic." B. "Your child should keep the bicycle at least 3 feet from the curb while riding in the street." C. "Your child should walk the bicycle through intersections." D. "Your child's feet should be 3 to 6 inches off the ground when seated on the bicycle."

Correct Answer is C

Explanation

A. Riding the bicycle against the flow of traffic increases the risk of collisions with oncoming vehicles. Children should ride with the flow of traffic to be more predictable and visible to drivers.
B. Keeping the bicycle at least 3 feet from the curb while riding in the street is a good safety practice to prevent collisions with parked cars or opening car doors.
C. Walking the bicycle through intersections allows the child to safely navigate intersections as pedestrians, reducing the risk of accidents with vehicles.
D. The height of the child's feet when seated on the bicycle is not directly related to safety at intersections. However, it is important for the child to be able to touch the ground with their feet while seated to maintain balance and control while stopping and starting.

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A nurse is providing teaching to a parent of a child who has HIV. Which of the following statements by the parent indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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